Back ICU PLLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

BACK ICU PLLC

Practice address

10534 Garland Rd Ste a
Dallas, TX 75218-2637

Phone

(214) 321-8887

Fax

(214) 321-4329

NPI assigned

Aug 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Conrad A Speece, D.O.

Title

Medical Director

Phone

(214) 321-8887

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1982718987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10534 GARLAND RD STE A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182637",
            "telephone_number": "214-321-8887",
            "fax_number": "214-321-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10534 GARLAND RD STE A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182637",
            "telephone_number": "214-321-8887",
            "fax_number": "214-321-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK ICU PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "SPEECE",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "214-321-8887",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren J Bachman, PMHNP-BC
• Payton Reilly Bachman
• Robert M Bachoo, MD, PHD
• Back 2 Life Physical Therapy
• Back Able Medical Supply LLC
• Back Pain Institute of Dallas
• Back Pro, Inc. (Inwood Chiropractic Center)
• Back to Health Chiropractic, PLLC
• Jessica Renee Backhaus, RBT
• Natasha Backman

• Rehabilitation Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.